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Table 4 Factors associated with late decision and surrogate decision-making in those who documented DNR of POLST (n = 1488)

From: Changes in decision-making process for life-sustaining treatment in patients with advanced cancer after the life-sustaining treatment decisions-making act

Variables Late decision (documentation of DNR or POLST within 7 days of death) Surrogate decision-making
  Odds ratio (95 % CI) p-value Odds ratio (95 % CI) p-value
Age (years)
 ≤ 60 1   1  
 > 60 1.01
(0.80–1.27)
0.957 1.16
(0.92–1.48)
0.235
Sex
 Male 1   1  
 Female 0.71
(0.57–0.88)
0.002 0.87
(0.64–1.18)
0.368
Years of education
 ≤ 12 years 1   1  
 > 12 years 0.70
(0.52–0.94)
0.019 0.53
(0.31–0.90)
0.018
Healthcare insurance
 NHI 1   1  
 Medical aid 0.80
(0.51–1.25)
0.325 0.48
(0.22–1.04)
0.064
HPC referral
 No 1   1  
 Yes 0.92
(0.76–1.12)
0.397 0.40
(0.29–0.55)
< 0.001
LST-Act
 Before enforcement 1   1  
 After enforcement 0.51
(0.40–0.63)
< 0.001 0.01
(0.01–0.02)
< 0.001
Physician’s years of clinical experience
 ≥ 3 years 1   1  
 < 3 years 2.47
(1.14–5.31)
0.021 5.08
(1.17–21.99)
0.030
  1. CI confidence interval; NHI National Health Insurance; HPC hospice palliative care; DNR do not resuscitate; POLST Physician Orders for Life-Sustaining Treatment; LST-Act Life-Sustaining Treatment Decision-Making Act